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Prognostic Value of P-POSSUM and Osteopenia for Predicting Mortality After Emergency Laparotomy in Geriatric Patients
Department of Surgery, Karolinska University Hospital, Stockholm, Sweden.
Department of Surgery, Karolinska University Hospital, Stockholm, Sweden; Faculty of Medicine and Health, School of Health and Medical Sciences, Department of Surgery, Örebro University, Örebro, Sweden.
Örebro universitet, Institutionen för medicinska vetenskaper. Region Örebro län. (Clinical Epidemiology and Biostatistics)ORCID-id: 0000-0002-3552-9153
Department of Radiology, Örebro University Hospital, Örebro, Sweden.ORCID-id: 0000-0003-3253-8967
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2019 (Engelska)Ingår i: Bulletin of emergency and trauma, ISSN 2322-2522, Vol. 7, nr 3, s. 223-231Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Objective: To evaluate the Portsmouth-Physiological and Operative Severity Score for the enUmeration of Mortality and morbidity (P-POSSUM) in comparison with other risk factors for mortality including osteopenia as an indicator for frailty in geriatric patients subjected to emergency laparotomy.

Methods: All geriatric patients (≥65 years) undergoing emergency laparotomy at a single university hospital between 1/2015 and 12/2016 were included in this cohort study. Demographics and outcomes were retrospectively collected from medical records. Association between prognostic markers and 30-day mortality was assessed using Poisson and backward stepwise regression models. Prognostic value was assessed using receiver operating characteristic (ROC) curves.

Results: =0.004) while osteopenia was not. P-POSSUM had poor prognostic value for 30-day mortality with an area under the ROC curve (AUC) of 0.59. The prognostic value of P-POSSUM improved significantly when adjusting for patient covariates (AUC=0.83).

Conclusion: P-POSSUM and osteopenia alone hardly predict 30-day mortality in geriatric patients following emergency laparotomy. P-POSSUM adjusted for other patient covariates improves the prediction.

Ort, förlag, år, upplaga, sidor
Shiraz University of Medical Sciences , 2019. Vol. 7, nr 3, s. 223-231
Nyckelord [en]
Emergency Laparotomy, Emergency Surgery, Geriatric, Mortality
Nationell ämneskategori
Medicin och hälsovetenskap Kirurgi Geriatrik
Identifikatorer
URN: urn:nbn:se:oru:diva-79242DOI: 10.29252/beat-070303PubMedID: 31392220OAI: oai:DiVA.org:oru-79242DiVA, id: diva2:1386789
Tillgänglig från: 2020-01-20 Skapad: 2020-01-20 Senast uppdaterad: 2020-01-22Bibliografiskt granskad

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Cao, YangGeijer, HåkanLjungqvist, OlleMohseni, Shahin

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Cao, YangGeijer, HåkanLjungqvist, OlleMohseni, Shahin
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Institutionen för medicinska vetenskaperRegion Örebro län
Medicin och hälsovetenskapKirurgiGeriatrik

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